Apparatus for eliciting a blood sample

ABSTRACT

An apparatus for eliciting a blood sample comprises a housing, an aperture in a wall of the housing, an aperture cover moveable between a first position in which the aperture is covered and a second position in which the aperture is uncovered, the aperture cover comprising a sealing member configured to seal the aperture on a first side of the wall when the aperture cover is in the first position and a user-contactable part extending from the sealing member through the aperture to the second side of the wall and configured to allow a user to move the aperture cover between the first and second positions.

CROSS REFERENCE TO RELATED APPLICATIONS

The present application is a continuation of U.S. application Ser. No.14/370,248 filed Jul. 2, 2014, which is a national phase applicationpursuant to 35 U.S.C. § 371 of International Application No.PCT/EP2013/050317 filed Jan. 9, 2013, which claims priority to EuropeanPatent Application No. 12150631.5 filed Jan. 10, 2012. The entirecontents of these applications are incorporated herein by reference intheir entirety.

TECHNICAL FIELD

The invention relates to an apparatus for eliciting a blood sample.

BACKGROUND

Diabetes sufferers may be provided with quantities of insulin, forinstance by injection, sometimes a number of times daily. The quantityof insulin that is appropriate depends on the person's blood glucoselevel, so blood glucose level measurement can also occur a number oftimes daily.

Blood glucose level measurement typically is a multi stage process. Thefirst is lancing, in which a lancet, or needle, is used to pierce theskin of a user, for example on the end or side of a finger. Once asuitable amount of blood has been produced, a sample is taken on atesting strip. A person may need to squeeze their finger in order tocause sufficient blood to be expelled. Sometimes lancing needs to bereperformed. The testing strip then is provided to a meter, typically anelectronic meter, which analyzes the sample, for example by determininga parameter (e.g. an electrochemical potential or voltage, resultingfrom a chemical reaction between the blood sample and an enzyme presentin the testing strip, and provides a blood glucose measurement result.This measurement is then used to determine an amount of insulin to beconsumed by the person.

Published PCT patent applications numbered WO 2012/004354, WO2012/004355, WO 2012/004356, WO 2012/004358 and WO 2012/004359 andEuropean application numbers EP11182381.1, EP11182383.7 and EP11190679.8relate to a new class of blood glucose measurement device. The deviceincludes lancing and measuring features. In use, a user places a bodypart against an aperture in the device and the device first lances thebody part then collects a blood sample, then processes the blood sampleto measure a blood glucose level.

SUMMARY

According to embodiments of the invention an apparatus for eliciting ablood sample comprises a housing, an aperture in a wall of the housing,an aperture cover moveable between a first position in which theaperture is covered and a second position in which the aperture isuncovered, the aperture cover comprising a sealing member configured toseal the aperture on a first side of the wall when the aperture cover isin the first position and a user-contactable part extending from thesealing member through the aperture to the second side of the wall andconfigured to allow a user to move the aperture cover between the firstand second positions. The aperture covers reduces the amount of moisturethat is able to enter the housing.

The user-contactable part may comprise a covering part configured tocover the entire aperture from the second side of the wall, when theaperture cover is in the first position. The aperture cover may beconfigured so as to slidably receive a portion of the wall between thesealing member and the covering part when the aperture cover is movedbetween the first and second positions. The apparatus may comprise abiasing member configured to bias the aperture cover towards the firstposition, wherein the biasing member is located between the sealingmember and the covering part of the aperture cover.

The apparatus may comprise a guide member for constraining the movementof the aperture cover to a predefined path.

The apparatus may comprise a biasing member configured to bias theaperture cover towards the first position. The aperture cover maycomprise a first catch member and the housing may comprise a second,corresponding catch member, the first and second catch members engagingone another when the aperture cover is moved to the second position,thereby to retain the aperture cover in the second position. The secondcatch member may be depressible, the first and second catch membersbeing configured to disengage from one another when the second catchmember is depressed. The apparatus may be configured to perform aplurality of blood sample elicitations and to cause the second catchmember to be depressed each time a blood sample has been elicited. Theapparatus may comprise a plurality of test disc members, each used for asingle blood sample elicitation, the test disc members each including aprotruding portion, wherein after one of the test disc members has beenused to elicit a blood sample, the protrusion is moved into contact withthe second catch member thereby depressing the second catch member andallowing the aperture cover to return to the first position. The secondcatch member may comprise a protruding portion with which the protrusionof the test disc member comes into contact to depress the second catchmember.

The apparatus may comprise a test disc member used for a single bloodsample elicitation, the test disc member being configured so as to applypressure on the sealing member when the aperture cover is in the firstposition, thereby to improve the sealing of the aperture by the sealingmember.

The aperture cover may be configured to slide between the first andsecond positions.

BRIEF DESCRIPTION OF THE DRAWINGS

Embodiments of the invention will now be described, by way of exampleonly, with reference to the accompanying drawings, in which:

FIG. 1 is a perspective view of a blood glucose meter (BGM) according toaspects of the invention.

FIG. 2 is a perspective view of the BGM of FIG. 1 with a portion shownas transparent, so as to allow features inside a housing to be seen;

FIG. 3 is the same as FIG. 2 although a lid portion is shown as beingremoved;

FIG. 4 is the same as FIG. 3, although a cartridge is shown as partlyremoved;

FIG. 5 illustrates components of one embodiment the BGM of FIG. 1;

FIG. 6 is a perspective view of components of the BGM of FIG. 5 but witha hollow cylindrical housing part shown as transparent;

FIG. 7 is a perspective view of a test disc member forming part of theBGM of FIGS. 1 and 5;

FIG. 8 is an underneath perspective view of the test disc member of FIG.7;

FIG. 9 illustrates the BGM of FIGS. 5 to 7 at a stage of a bloodcollection sample process in which the disc member is rotated to aposition where a lancet is operable to lance the user's digit;

FIG. 10 illustrates the BGM of FIGS. 5 to 7 at a different stage of ablood collection sample process in which a blood collection part of thetest disc member is coincident with an aperture;

FIG. 11 illustrates the BGM of FIGS. 5 to 7 at a different stage of ablood collection sample process in which the disc member is aligned forupward movement;

FIG. 12 illustrates the BGM of FIGS. 5 to 7 at a different stage of ablood collection sample process after upward movement of the discmember;

FIG. 13 is a perspective view of components of the BGM of FIG. 1;

FIG. 14 is the same as FIG. 13, although with a hollow cylindricalhousing part not shown;

FIG. 15 is the same as FIG. 14 although with a swing arm located in adifferent position;

FIG. 16 illustrates components of a second embodiment of the BGM of FIG.1 in a perspective view;

FIG. 17 illustrates a test disc member forming part of the FIG. 16embodiment;

FIG. 18 illustrates the embodiment of the BGM of FIG. 16 at a phase ofoperation in which the test disc member is rotated to a position atwhich a lancet is coincident with an aperture (not shown);

FIG. 19 illustrates the embodiment of the BGM of FIG. 16 at a differentphase of operation after a force has been applied to a plungerarrangement to displace the test disc member;

FIG. 20 illustrates the embodiment of the BGM of FIG. 16 at a differentphase of operation in which the disc member is rotated to a position forcollection of blood at a blood collection part;

FIG. 21 illustrates the embodiment of the BGM of FIG. 16 at a differentphase of operation in which a force applied to a second disc membercauses a lancet of the second disc member to be forced out of anaperture (not shown);

FIG. 22 is an alternative embodiment of a test disc member;

FIG. 23 is a flowchart illustrating operation of the first embodiment ofthe BGM of FIG. 1;

FIG. 24 is a flowchart illustrating operation of the second embodimentof the BGM of FIG. 1;

FIG. 25 is a BGM according to alterative embodiments of the invention;

FIG. 26 is a cross-sectional view through the BGM of FIG. 25 duringoperation of the BGM when an aperture cover is in a first position;

FIG. 27 is a cross-sectional view through the BGM of FIG. 25 duringoperation of the BGM when the aperture cover is in a second position;

FIG. 28 is a cross-sectional view through the BGM of FIG. 25 duringoperation of the BGM when a test disc member is rotated to lance auser's finger; and

FIG. 29A is a schematic view of a second catch member of the BGM ofFIGS. 25 to 28; FIG. 29B is a schematic view of the second catch memberof the BGM of FIGS. 25 to 28 when it is engaged with a first catchmember.

DETAILED DESCRIPTION

A blood glucose meter (BGM) 100 is shown in FIG. 1. The BGM 100 is shownin a perspective view. The BGM 100 has a generally flat base, that isnot visible in the figure. The BGM 100 is approximately as tall as it islong, and its width is approximately one-third of its height.

On one side face of the BGM are provided first, second and third inputs101, 102, 103. These may take the form of push-switches or touchsensitive transducers, for instance. Also provided on the side of theBGM next to the input devices 101 to 103 is a display 104. This may takeany suitable form, for instance a liquid crystal display (LCD), e-inketc. In use, a user may control the BGM 100 using the input devices 101to 103 and may be provided with information by the BGM through thedisplay 104.

Located at a front face of the BGM 100 is an aperture 105. The aperture105 is located at approximately half of the height of the BGM. Theaperture 105 is configured such as to be able to receive a part of auser's body, for the purpose of extracting a blood sample therefrom. Forinstance, the aperture 105 may be dimensioned so as to receive an end ora side part of a finger or thumb, or may be dimensioned so as to receivea side of a user's hand or a pinch of skin from a user's arm. Theaperture may be rectangular in shape. Its edges may be bevelled, so asto guide a user's digit into a specific location.

The aperture 105 is provided in the side of a cartridge 106. Thecartridge has a generally cylindrical form, and is arranged verticallyin the BGM 100.

In particular, the BGM includes a first housing part 107. The firsthousing part 107 forms the base, left and right side face and the rearface of the BGM 100. On the front face of the BGM 100, the first housingpart 107 also comprises the lowermost part of the side face. A fixed lidpart 108 is attached to the first housing part 107. The fixed lid part108 comprises most of the top surface of the BGM 100. A removable lidpart 109 comprises the remaining part of the top surface of the BGM 100.The removable lid part is disposed above the cartridge 106 at the frontface of the BGM 100.

The first housing part 107 is configured such as to provide an elongateaperture 110 at the front face of the BGM 100. The elongate aperture 110may extend for most of the height of the front face of the BGM 100. Theelongate aperture 110 is defined at the uppermost part by the removablelid part 109 and is defined by the first housing part 107 at the right,left and bottom. The BGM 100 is arranged such that the cartridge 106occupies the whole of the area of the elongate aperture 110. A slidableor pivotable door in the housing part 107 of the BGM 100 may cover allor a part of the elongate aperture 110 when the BGM is not in use. Thedoor may cover at least the aperture 105, such as to prevent the ingressof dirt and other potential contaminants into the aperture 105

The cartridge 106 is more clearly visible in FIG. 2. FIG. 2 shows thesame view as FIG. 1, although the removable lid part 109 and the firsthousing part 107 are shown in wire frame. As can be seen from FIG. 2,the cartridge 106 has a generally cylindrical form, and is arrangedvertically. The diameter of the cartridge 106 is greater than the widthof the aperture 110 by a factor for instance of between 5 and 50%. Thecartridge 106 has a length that is between 3 or 4 times its diameter.

In FIG. 3, the removable lid part 109 is shown as having been removedfrom the BGM 100. The first housing part 107, the fixed lid part 108 andthe removable lid part 109 are configured such that when the removablelid part is in place on the BGM the cartridge 106 is retained bymechanical interaction between the three components but is removable bya user. The exact way in which the removable lid part 109 is releasedfrom the BGM 100 is not critical and is not described in detail here.

The removable lid part 109 is configured such that when removed from theBGM 100 the cartridge 106 is able to be extracted from the BGM by movingit vertically along its axis. In FIG. 4, the cartridge 106 is shown asbeing partly removed from the BGM 100. When fully removed, the elongateaperture 110 reveals a cavity in the BGM 100. A replacement cartridgecan then be introduced into the BGM 100 in the opposite manner to whichthe old cartridge 106 was removed. Once located at the bottom of thecavity in the BGM, the new cartridge 106 is partly surrounded by thefirst housing part 107. Once the removable lid part 109 has beenreplaced, to the position shown in FIG. 1, the cartridge 106 is retainedin place by the action of the first housing part 107 and the removablelid part 109. The aperture 105 in the cartridge 106 is presented at thefront face of the BGM 100, in the same way as shown in FIG. 1. Thecartridge 106 and the cavity which receives the cartridge may have akeying feature, such as a protrusion and a groove, a non circulardiameter, or the like. Thus, when the cartridge 106 is fully inserted,the aperture 105 is in a fixed position to the elongate aperture 110,for example in a centered position as shown in FIG. 1.

FIG. 5 shows a subsystem 200 of the blood glucose meter 100. Thesubsystem 200 includes the cartridge 106, a drive wheel 201 and a drivebelt 202.

In FIG. 5, the cartridge shown as having a hollow cylindrical housingpart 203, which constitutes part of a housing. The aperture 105 isformed in the hollow cylindrical housing part 203. Coaxial with thehollow cylindrical part 203 is an elongate shaft 204, only the top partof which is illustrated in FIG. 5. The length of the shaft 204 is suchthat its uppermost end is slightly below the uppermost end of the hollowcylindrical housing part 203. As will be described below, the shaft 204is mechanically coupled with the drive belt 202 so as to be rotatable byrotation of the drive wheel 201.

Formed with the inner surface of the hollow cylindrical housing part 203are first and second guide members 205, 206. In FIG. 5, it can be seenthat the first and second guide members 205, 206 have a generallytriangular cross section. One side of the triangular cross section ofthe first and second guide members 205, 206 is integral with the innersurface of the hollow cylindrical housing part 203, with a point of thetriangular cross section extending towards the centre of the cartridge106. A part of the length of the first guide member 205 is visible inFIG. 5, but only the uppermost surface of the second guide member 206 isvisible in that figure.

FIG. 5 also shows some electronic components that form parts of theblood glucose meter 100. These components are provided within thehousing 107 but do not form part of the cartridge 106.

A bus 211 is arranged to connect a number of components including amicroprocessor 212, random access memory (RAM) 213, read-only memory(ROM) 214, a keys interface 215, a display driver 216, an analyteinterface circuit 219 and a motor interface 217. All of these componentsare powered by a battery 218, which may take any suitable form.

Stored in the ROM 214 is software and firmware that governs operation ofthe blood glucose meter 100. The software/firmware is executed by themicroprocessor 212 using the RAM 213. The software/firmware stored inthe ROM 214 is operable to operate the blood glucose meter 100 such asto allow control by a user through the keys or input devices 101 to 103,as detected by the keys interface 215. A blood glucose measurement andother information is provided on the display 104 at suitable times byoperation of the software/firmware and the microprocessor 212 throughthe display driver 216.

The motor interface 217 allows the microprocessor 212, according to thesoftware/firmware stored in the ROM 214, to control the motor that iscoupled to the drive wheel 201, and any other motors that are includedin the blood glucose meter 100 (as will be described below).

The analyte interface circuit 219 is operable to provide electricalsignals with certain voltages to the electrical contact terminals 401,and thus the contact pads 318 and thus the analyte measuring part 316,and to measure parameters of signals such as to allow the microprocessor212 to measure a blood glucose level of a blood sample.

FIG. 6 is the same as FIG. 5 except that the hollow cylindrical housingpart 203 is shown in wire frame, so as to reveal components internal toit, and in that the electronic components are omitted. In FIG. 6, athird guide member 207 is visible. As can be seen from this figure, thefirst and second guide members 205, 206 are located only in theuppermost half of the length of the cartridge 106, and the third guidemember 207 is located only in the lowermost half of the cartridge 106.The first, second and third guide members 205 to 207 are distributedaround the circumference of the hollow cylindrical housing part 203. Inparticular, the first and second guide members 205, 206 are located atapproximately 100 to 160 degrees from one another. The third guidemember 207 is located approximately 60 to 130 degrees from each of thefirst and second guide members 205, 206.

Mounted on the shaft 204 are a plurality of members, three of which areshown in FIG. 6 as 208, 209 and 210 respectively. The members 208 to 210will hereafter be referred to as test disc members. Each of the testdisc members 208 to 210 is substantially the same.

One test disc member 208 is shown in some detail in FIG. 7. The testdisc member 208 has a generally circular shape, although on one side anotch 301 is formed and on another side a cutaway portion 302 isprovided. The cutaway portion constitutes a milking portion, and will bedescribed in more detail below.

The test disc member 208 includes an uppermost surface 303, a lowermostsurface 304, which is shown in FIG. 8, and a disc edge 305. The diameterof the test disc member 208 is between 15 and 25 millimetres, forinstance 20 millimetres. The thickness of the disc, which is equal tothe height of the disc edge 305, is between 0.5 millimetres and 1millimetre. FIG. 8 shows the test disc member 208 from the underside. Assuch, the lower surface 304 is visible and the upper surface 303 is notvisible. The test disc member 208 will now be described with referenceto FIGS. 7 and 8.

A hole 306 is formed at the centre of the test disc member 208. The hole306 comprises two main parts. A circular part is centred on the testdisc member 208 and has a diameter equal to or slightly larger than theexternal diameter of the shaft 204. A drive notch 307 abuts the circularpart of the hole 306 and includes edges that are able to be engaged by adrive dog.

A drive dog 320 (visible in part in FIG. 9 and more fully in FIG. 10) isformed on the shaft 204. The drive dog 320 is engaged with the drivenotch 307 in the hole 306 of the test disc member 208. This engagementallows rotation of the shaft 204 to result in rotation of the test discmember 208.

On the underside of the test disc member 208 is provided a spacer member308. The spacer member 308 comprises a slice of a hollow cylinder. Thecylinder is centred on the centre of the test disc member 208. The innerdiameter of the spacer member 308 is selected such that the hole 306does not overlap with the spacer member 308. The outer diameter of thespacer member 308 is only slightly greater than the inner diameter, sothe spacer member 308 has little thickness. The height of the spacermember 308 is between 0.5 and 1 millimetre. When plural test discmembers are stacked together, the spacer member 308 provides separationbetween the upper surface 303 of one test disc member and the lowersurface 304 of the test disc member that is directly above it. Theseparation is determined by the height of the spacer member 308.

Referring again to FIG. 7, a lancet 309 is shown protruding from thedisc edge 305. The lancet 309 is provided in the cutaway portion 302. Afirst end of the lancet 309 is embedded within the material of the testdisc member 208, and a second end is provided with a sharp point andextends outwardly. The lancet 309 extends at an angle between 30 and 60degrees from a radius line of the test disc member 208 at the positionwhere the end of the lancet 309 is embedded in the test disc member. Thesecond end of the lancet 309 is located at or just outside acircumference 311 of the test disc member 208. The circumference 311 isshown as a dotted line in FIG. 7 because it is virtual, instead oftangible. The lancet 309 extends from the disc edge 305 at a firstposition 312 on the disc edge. The first position 312 is close to asecond position 313 at which the cutaway portion 302 starts. The cutawayportion 302 ends at a third position 314. Between the second and thirdpositions 313, 314 opposite to the cutaway portion 302, the disc edge305 generally takes the form of a circle, although the notch 301interrupts that circle.

Located next to the third position 314 is a blood collection part 315.This may take any suitable form. For instance, it may comprise alaminated material. The blood collection part 315 has the function ofdrawing blood that is in contact with the disc edge 305 at the thirdposition into the test disc member 208 to an blood analyte measuringpart 316, that adjoins the blood collection part 315, for example a partcontaining an enzyme for blood glucose measuring, or the like. Blood maybe drawn through capillary action. The analyte measuring part 316includes an enzyme that reacts chemically with blood in such a way thatblood glucose level can be measured. The analyte measuring part 316 isconnected to first to third contact pads 318 by first to thirdconductive tracks 317. The contact pads 318 and the conductive tracks317 are formed on the upper surface 303 of the test disc member 208. Theanalyte measuring part 316 also is formed on the upper surface 303 ofthe test disc member 208. Some or all of the conductive tracks 317, thecontact pads 318 and the analyte measuring part 316 may be printed ontothe upper surface 303 of the test disc member 208.

As will be described in detail below, in use a part of a user is firstlypierced by the lancet 309, the part is then milked by the disc edge 305at the cutaway portion 302, and blood then is provided to the analytemeasuring part 316 through the blood collecting part 315. A measuringcircuit connected to the analyte measuring part 316 by way of theconductive tracks 317 and the contact pads 318 then is able to determinea blood glucose level of the user. The level then is displayed on thedisplay 104.

Operation will now be described with reference to the figures.

As shown in FIG. 6, the test disc members 208 to 210 commence at thesame orientation. Here, the first test disc member 208 is uppermost. Thethird guide member 207 is located in the notch 301 of the lowermost testdisc members 209, 210. The notch 301 of the first test disc member 208is aligned with the third guide member 207, but is not constrainedthereby. The upper surface 303 of the uppermost test disc member 208 isin contact with a lowermost surface of the first guide member 205. Thelowermost surface of the second guide member 206 is at the same level asthe lowermost end of the first guide member 205. However, the secondguide member 206 coincides with part of the cutaway portion 302 of thefirst test disc member 208 at the orientation of the test disc member208 shown in FIG. 6. As such, there is no contact between the secondguide member 206 and the first test disc member 208 when the first testdisc member is in this position. The test disc members 208 to 210 arebiased in an upwards direction by bias means (not shown), which may be aspring. However, the test disc members 208 to 210 are prevented frommoving upwards within the cartridge 106 by virtue of the contact betweenthe upper surface 303 of the first test member 208 and the lowermost endof the first guide member 205.

At the position shown in FIG. 6, the distal end of the lancet 309 is notco-located with the aperture 105. As such, the lancet 309 is in thisposition not operational. Put another way, the lancet 309 at thisposition is shielded by the hollow cylindrical part 203, whichconstitutes part of the housing.

From the position shown in FIG. 6, the shaft 204 is caused to rotate ina clockwise direction by action of the drive wheel 201 and drive belt202. The drive dog 320 is engaged with the drive notch 307 in the hole306 of the test disc member 308, and so allows rotation of the shaft 204to result in rotation of the test disc member 308. Rotation brings thelancet 309 in front of the aperture 105. As such, a skin-covered part ofa user (hereafter the part will be referred to as a user's digit, forthe sake of convenience) is lanced by the lancet 309. This produces apuncture in the skin of the digit, through which blood can escape. FIG.9 shows the first test disc member 208 rotated to the position where thelancet 309 is operable to lance the user's digit. The shaft 204 iscaused to rotate only by a predetermined amount, the maximum extent oftravel of the lancet 309 is controlled. The penetration of the lancet309 in the user's digit depends on a number of factors, as will beappreciated by the person skilled in the art. The amount of rotation,and thus the depth of penetration, may be definable by a user. Thepenetration depth specified by a user may be achieved through softwareor firmware control of rotation of the shaft 204. The penetration depthmay be defined by the user for example using one or more of the first,second and third inputs 101 to 103. For instance, the first and secondinputs 101, 102 may be increase and decrease respectively, with thethird input 103 being a select or confirm input. The value defining thedepth may be stored in memory. Subsequently, the shaft 204 is controlledto rotate in an anticlockwise direction. This causes the lancet 309 tobe removed from the user's digit, and for the disc edge 305 at thecutaway portion 302 to rub the user's digit as the test disc member 208rotates. At a point in the rotation of the test disc member 208, thelowermost part of the second guide member 206 ceases to coincide withthe cutaway portion 302 and so is able to exert a reaction force on theupper surface 303 of the test disc member 208. A short time thereafter,the lowermost part of the first guide member 205 becomes coincident withthe cutaway portion 302, and ceases to contact the upper surface 303 ofthe test disc member 208. At this point, it is the second guide member206 that prevents the first test disc member 208 moving upwards withinthe cartridge 206.

The test disc member 208 continues to rotate until the blood collectionpart 315 is aligned with the aperture 105. Here, rotation ceases. Atthis location, blood that has been caused to be expelled from the user'sdigit by the lancet 309 and by action of the disc edge 305 on the user'sdigit is caused to be drawn to the analyte measuring part 316 bycapillary action. The blood and the enzyme then react.

At a suitable time, the shaft 204 is caused to be rotated further in ananticlockwise direction. Here, the test disc member 208 is caused to berotated from the position shown in FIG. 10, in which the bloodcollection part 315 is coincident with the aperture 105, to the positionshown in FIG. 11. Here, the notch 301 is aligned with the second guidemember 206. Because at this location the first guide member 205 iscoincident with the cutaway portion 302 of the test disc member 208,neither of the first or second guide members 205, 206 prevents upwardsmovement of the first test disc member 208. As such, the first to thirddisc members 208 to 210 are moved upwards by virtue of the bias means(not shown).

When the first test disc member 208 moves upwards, between FIGS. 11 and12, the drive dog 320 ceases to cooperate with the drive notch 307 ofthe hole 306 of the first test disc member 208. Before the first testdisc member 208 reaches the position shown in FIG. 12, a lower surfaceof the drive dog 320 contacts the upper surface 303 of the second testdisc member 209. This prevents further upward movement of the secondtest disc member 209, and thus prevents further movement of the testdisc member 210. At this position, the shaft 204 is caused to be rotatedby the drive wheel 201 and the drive belt 202 such that the drive dog320 is coincident with the drive notch 307 of the second test discmember 209. At this location, the second disc member 209 is able to moveupwards on the shaft 204, thereby engaging the drive dog 320 with thedrive notch 307 of the second test disc member 209. After the secondtest disc member 209 has moved upward by a distance equal to the heightof the spacer member 308, further upwards movement of the second testdisc member 209 is prevented by contact between the first guide member205 and the upper surface 303 of the second test disc member 209. Atthis point, which is shown in FIG. 12, the second guide member 206 islocated within the notch 301 of the first test disc member 208. Thisprevents further rotation of the first test disc member 208 within thecartridge 106.

By virtue of movement up the cartridge 106 of the first to third testdisc members 208 to 210, the third guide member 207 ceases to be withinthe notch 301 of the second test disc member 209. At this stage, thethird guide member 207 does not prevent rotational movement of thesecond disc member 209.

At the position shown in FIG. 12, the second test disc member 209 is inexactly the same position as was the first test disc member 208 at theposition shown in FIG. 6. Furthermore, the shaft 204, and thus the drivedog 320, has the same orientation. As such, the second test disc member209 is able to be used to elicit a blood sample from a user and test theglucose level thereof in the same way as was the first test disc member208.

By providing a stack of test disc members 208 to 210 within thecartridge 106 and by providing a suitable physical arrangement, acartridge 106 can be used for multiple tests. When the cartridge 106 isnew, the test disc members 208 to 210 are located in the bottom half ofthe cartridge 106, with the uppermost test disc member being alignedwith the aperture 105. As test disc members are used, the stack of testdisc members moves upwards in the cartridge. When the last test discmember is used, the cartridge can be said to be spent. At this stage,all of the test disc members are located in the uppermost portion of thecartridge 106.

It will be appreciated that the number of test disc members 208 to 210that can be accommodated within the cartridge 106, and thus the numberof tests that can be provided by a cartridge 106, is a factor of theheight of the cartridge 106, and the separation between correspondingparts (e.g. the upper surfaces) of adjacent test disc members 208 to210. A taller cartridge and/or a reduced separation of test disc membersincreases the number of tests that can be performed using a singlecartridge 106.

Reference will now be made to FIGS. 13 to 15, which illustrateconnection of the analyte measuring part 316 to measurement circuitry(not shown).

Referring firstly to FIG. 13, the hollow cylindrical housing part 203 isshown with the aperture 105 and the shaft 204 located as describedabove. A slit aperture 400 is provided in the hollow cylindrical housingpart 203. The slit aperture 400 is located at substantially the sameheight as the aperture 105. However, the slit aperture 400 is located ona side of the hollow cylindrical housing part 203 that is substantiallyopposite the aperture 105.

The slit aperture 400 does not coincide with the elongate aperture 110that is formed at the front side of the BGM 100. As such, the slitaperture 400 is not visible when the cartridge 106 is in place withinthe BGM 100.

FIG. 14 is the same view as shown in FIG. 13 although the hollowcylindrical housing part 203 is omitted.

Adjacent to the slit aperture 400 is located a swing arm 401. The swingarm 401 is rotatable about a spindle 402, as shown in FIG. 15. Thespindle 402 has an axis that is parallel to the axis of the shaft 204.The axis of the spindle 402 is located above the drive belt 202. Aconnecting arm 403 connects the spindle 402 to the swing arm 401. Inthis example, the connecting arm 403 is connected to the swing arm 401by a vertical connector 404. The vertical connector 404 allows thespindle 402 on which the connecting arm 403 is mounted to be located ata different vertical position to the swing arm 401. The spindle 402, theconnecting arm 403 and the vertical connector 404 are arranged such thatwhen the connecting arm is rotated on the axis of the spindle 402 theswing arm 401 is moved towards the shaft. The movement of the swing arm401 is substantially radial with respect to the shaft 204.

Mounted on the swing arm 401 are first to third electrical contactterminals 405. Each includes a generally horizontal arm 405 a and adepending contact head 405 b. The electrical contact terminals 405 aremade of a resilient conductive material, for instance metal. Thedepending contact heads 405 b are angled at their ends furthest from theswing arm 401.

In one position, shown in FIGS. 13 and 14, the electrical contactterminals 405 are supported by the swing arm 401 such that the dependentcontact heads 405 b are located within the slit aperture 400 oralternatively outside of the hollow cylindrical housing part 203. Whenthe test disc member 208 is rotated such that the blood collection part315 is coincident with the aperture 105, as shown in FIG. 14, thecontact pads 318 are coincident/aligned with the slit aperture 400. Asthe test disc member 208 is held in this position, the connecting arm403 is caused to rotate around the axis of the spindle 402 such that theswing arm 401 moves towards the shaft 204. The arrangement is such thatthe depending contact heads 405 b of the electrical contact terminals405, but not the horizontal arms 405 a, come into contact with thecontact pads 318 as the electrical contact terminals 405 move into thevolume above the upper surface 303 of the test disc member 208. Theresilient properties of the electrical contact terminals 405 causes theelectrical contact terminals to be forced against the contact pads 318.As such, an electrical connection is provided between the horizontalarms 405 a of the electrical contact terminals 405 and the analytemeasuring part 316. Electronic measuring means (not shown) connected tothe electrical contact terminals 405 operate to pass a voltage throughthe contact terminals 405 and the analyte measuring part 316 and to takemeasurements of electrical parameters, from which a measurement of ananalyte concentration level, for example a blood glucose level, can bedetermined.

The connecting arm 403 is controlled to remain in a position shown inFIG. 15 for a predetermined time or alternatively until it is detectedthat a blood glucose level measurement has been made, after which theconnecting arm 403 is caused to rotate around the shaft 402 so as toremove the electrical contact terminals 405 from the position above theupper surface of the test disc member 208. At this stage, thearrangement is as shown in FIG. 14. Once the electrical contactterminals 405 have been retracted, the test disc member 208 is rotatedanticlockwise so as to allow the test disc members 208 to 210 to moveupwards on the shaft 204.

Alternatively or additionally, each of the conductive contacts 318 maybe generally concentric with the shaft 402 for at least a part of theirlength. This can allow the plural terminals 405 to remain in contactwith their respective conductive contacts 318 while the member rotates.Thus, for instance, the test disc member 208 could be rotated away fromthe position in which the blood analysis part is exposed to collect ablood sample whilst allowing the plural terminals 405 to remain inelectrical contact with the blood analysis part.

It will be appreciated that the maximum permissible height dimension ofthe electrical contact terminals 405 is determined by the height of thespacer member 308. A thicker spacer member allows larger electricalcontact terminals 405 to be used. However, this is at the expense of anincrease in separation between adjacent test disc members 208 to 210,and thus a reduced capacity for the cartridge 106. The use of electricalcontact terminals 405 including a horizontal arm 405 a and a dependingcontact head 405 b allows the height dimension of the electrical contactterminals to be minimised whilst allowing good electrical contactbetween the electrical contact terminals and the contact pads 318 andalso allowing the electrical contact terminals 405 to operate correctlyover a sufficient number of cycles.

Referring now to FIGS. 16 to 21, an alternative arrangement is shownwith a novel lancing technique.

As shown in FIG. 16, the hollow cylindrical housing part 203 is providedwith the aperture 105 and the slit aperture 400. The shaft 204 issupported centrally within the hollow cylindrical housing part 203 ofthe cartridge 106. However, the diameter of the shaft is less than inthe embodiments described above.

A plunger arrangement 500 comprising a plunging arm 501 and a plunginghead 502 is provided adjacent a plunging aperture (not shown) in thehollow cylindrical housing part 203. The plunging aperture (not shown)is located next to the slit aperture 400. The plunging aperture (notshown) is located directly opposite to the aperture 105. The plungeraperture and the slit aperture 400 may be combined to form a singleaperture. The plunger aperture is configured to allow the plunging head502 to be forced by the plunging arm 501 to a position internal to thehollow cylindrical housing part 203.

Within the cartridge 106 are plural test disc members, one of which isshown as 505 in FIG. 17. Here, reference numerals are retained fromearlier described figures for like elements.

A lancet 506 is provided extending from the disc edge 305 in the cutawayportion 302. In particular, the lancet 506 extends in a radial directionwith respect to the centre of the test disc member 505. The lancet 506extends from a fourth position 507, which is near to the second position313. The fourth position 507 is further from the second position 313than is the corresponding first position 312 in the embodimentsdescribed above. However, because the lancet 506 is radial with respectto test disc member 505, a distal end 506A of the lancet 506, i.e. theend that is furthest from the centre of the test disc member 505, is atapproximately the same position as the corresponding end of the lancet309.

The majority of the test disc member 505 is substantially rigid.However, an annular centre portion 508 is comprised of an elasticallydeformable material. In particular, the annular centre position 508 isdeformable in the presence of an externally applied force. This meansthat the test disc member 505 can be displaced relative to the shaft204, as will be described in more detail below. The material used toform the annular centre portion 508 may take any suitable form, and forinstance may be a rubberised plastic.

In FIG. 18, the hollow cylindrical housing part 203 is omitted from thefigure. In FIG. 18, the test disc member 505 is shown as having beenrotated to a position at which the lancet 506 is coincident with theaperture 105. It can be seen that the plunging head 502 is aligned withthe test disc member 505 such that movement of the plunger arrangement500 along the longitudinal axis of the plunging arm 501 causes theplunging head to contact the test disc member 505 and apply force to it.Since the longitudinal axis of the plunging arm 501 is radial withrespect to the shaft 204, the force applied by the plunger arrangementis directed towards the shaft 204.

In FIG. 19, the arrangement is shown after a force has been applied tothe plunger arrangement 500 so as to displace it by a predeterminedamount. Here, the plunging head 502 has contacted the test disc member505 on the opposite side of the test disc member to the lancet 506. Theannular centre portion 508 has become compressed on the side closest tothe plunger arrangement 500 such as to allow the whole of the test discmember 505 to be displaced in the direction of the force supplied by theplunger arrangement 500. The test disc member 505 remains horizontal byvirtue of the spacer members 308.

Displacement of the test disc member 505 in the direction of the forcesupplied by the plunger arrangement 500 has resulted in displacement ofthe lancet 506 in a radial direction away from the shaft 204. In thisposition, the lancet 506 penetrates the skin of the user's digit.Removal of the force by the plunger arrangement 500 allows the annularcentre portion 508 to return to its original form, through elasticreformation. After the plunger arrangement 500 has been fully retracted,the arrangement again has the form shown in FIG. 18. Here, the test discmember 505 is in its original position and the lancet 506 is retractedfrom the user's digit. It will be appreciated that it is the elasticityof the annular centre portion 508 of the test disc member 505 thatallows the test disc member 505 to return to this position once theforce applied through the plunger arrangement 500 is removed.

After removal of the force supplied by the plunger arrangement 500, thetest disc member 505 can be rotated by the drive wheel 201 and the drivebelt 202 so as to provide milking of the user's digit and thencollection of blood at the blood collection part 315, which position isshown in FIG. 20. After a measurement of blood glucose level is taken,the test disc member 505 is rotated further anticlockwise so that thesecond guide member 206 is aligned with the notch 301, and thus the testdisc member 505 is allowed to move upwards within the cartridge 106. Asa result, the test disc member 509 that is immediately below the firsttest disc member 505 also moves upwards within the cartridge 106 and isprovided to be coincident with the aperture 105, the slit aperture 400and the plunger aperture (not shown). Subsequent application of aplunging force by the plunger arrangement 500 causes a lancet 506 of thesecond test disc member 509 to be forced out of the aperture 105, as isshown in FIG. 21. The process can be repeated for other test discmembers included in the cartridge 106.

An advantage of the arrangement shown in FIGS. 16 to 21 is that arotational arrangement can be used whilst allowing the lancet 506 topenetrate a user's skin in a longitudinal direction with respect to thelancet 506. Another advantage is that puncture can occur at any desiredlocation, for instance on the end of the user's digit, instead ofpuncturing occurring slightly on the side of the end of the digit.

Another advantage is that the arrangement can allow the penetrationdepth of the lancet 506 to be easily predictable.

Furthermore, it allows the penetration or puncturing depth to beadjustable. In particular, the adjustment of the penetration depth canbe achieved by a mechanical arrangement that limits movement of theplunger arrangement towards the shaft 204. Alternatively, it can beachieved in an electro-mechanical manner by measuring the location ordisplacement of some part of the mechanism and ceasing applying anenergising voltage to a solenoid or other transducer that is used toaffect movement of the plunger arrangement 500. Penetration depthcontrol is important to many users since lancet penetration usually ispainful and since penetration depth control allows users some controlover their experience.

An alternative form of test disc member 600 is shown in FIG. 22.Reference numerals are retained from above-described embodiments forlike elements.

The test disc member 600 differs from the test disc member 208 shown inFIG. 7 primarily by use of a curved lancet 601. The curved lancet 601protrudes from the disc edge 305 at a position 602 that is relativelyclose to a second position 313 at which the cutaway portion 302commences.

At the part of the curved lancet 601 that is adjacent the disc edge 305,the longitudinal axis of the curved lancet 601 is at an angle X withrespect to a straight line drawn between the junction between the curvedlancet 601 and the disc edge 305 and the centre of the shaft 204. Thecurve of the curved lancet 601 is such that the longitudinal axis of thecurved lancet at the end distant from the disc edge 305 is at an anglegreater than the angle X with respect to the line drawn between thejunction between the curved lancet 601 and the disc edge 305 and thecentre of the shaft 204. The effect is that the curved lancet 601 ismore aligned with the circumference of the test disc member 600 at itsdistal end than it is at the end that adjoins the disc edge 305. Thishas the positive effect that when the lancet penetrates a user's digit,or other body part, due to rotation of the test disc member 600, thepath taken by the lancet as it penetrates the user's digit more closelymatches the shape and orientation of the lancet than is experienced in acorresponding arrangement with a straight lancet.

This effect is enhanced with the lancet 601 since the cylindrical formof the lancet 601 is terminated at the distal end by an oblique cut. Inparticular, the distal end of the curved lancet 601 resembles a cylinderthat has been cut at an angle that is not perpendicular to thelongitudinal axis of the cylinder. As such, the end face of the curvedlancet 601 has the shape of an ellipse. The ellipse has a semi-majoraxis and a semi-minor axis and the point that is at the end of thesemi-major axis that is furthest from the disc edge 305 forms a point.The cut is made through the lancet 601 such that the point is formedextending in a direction that is substantially circumferential withrespect to the test disc member 600.

The configuration of the test disc members 208 to 210, 505, 600 is suchthat operation results in milking of the puncture in the user's digitcaused by the lancet 309. In particular, the aperture 105 is configuredsuch as to allow an amount of the flesh making up the end of the user'sdigit to be present within the internal volume of the cylindrical part203 when the user presses the digit up against the aperture 105. Whenthe user applies force into the aperture 105 with the digit, the digitdistorts and a bulbous part is provided within the internal diameter ofthe hollow cylindrical housing part 203. The size of the bulbous part,and in particular the height of the bulbous part, depends on a number offactors, including the physical characteristics of the user's digit andthe amount of force that the user applies, as well as the configurationof the aperture 105.

The aperture 105 is dimensioned such that in normal use (i.e. with atypical user applying a typical amount of force) a bulbous part of theuser's digit extends into the internal volume of the hollow cylindricalhousing part 203 to a depth of approximately 1 millimetre. The test discmembers 208 to 210, 505, 600 are configured to have a cutaway portion302 that is shaped such that when the lancet 309 is at a position atwhich it can lance the user's digit, the disc edge 305 is not in contactwith the user's digit (i.e. the separation between the disc edge 305 andthe aperture 105 is greater than 1 mm). This part of the cutaway portion302 can be termed a first milking portion. At this position, thepressure exerted by the user results in the fluid pressure within thebulbous part of their digit being slightly greater than normal pressure.The increased pressure results from the force the user applies to theirdigit. This pressure encourages bleeding of the puncture that is causedby the lancet 309. Advantageously, the arrangement of the relevantfeatures is such that the lancet 309 penetrates the user's digit to adepth of between 0.4 and 0.7 millimetres.

As the test disc member 208 to 210, 505, 600 then rotates anticlockwise,the lancet 309 is removed from the user's digit. A short timethereafter, the end of the bulbous part of the user's digit comes intocontact with the disc edge 305 at a position approximately one third totwo-fifths of the way along the cut out portion 203. This part can betermed the second milking portion. The test disc member 208 to 210, 505,600 has a substantially constant radius for the second milking portion,which extends to a position approximately two-thirds or four-fifths ofthe way along the cutaway portion 302. For the time at which the secondmilking portion is coincident with the bulbous part of the user's digitas the test disc member 208 to 210, 505 rotates, the internal pressureof the bulbous part of the user's digit is increased compared to thetime at which the user's digit was in contact with the lancet 309.Furthermore, as the disc edge 305 moves into contact with and over thebulbous part of the digit, blood under the skin is caused to be pushedtowards the puncture caused by the lancet.

Between the second milking part and the location of the blood collectionpart 315, the radius of the test disc member 208 to 210, 505, 600 isreduced, or put another way has a lower value. This portion can betermed a third milking portion. As such, after the second milkingportion and before the user's digit contacts the blood collection part315, the pressure applied to the bulbous part of the user's digit by thedisc edge 305 is reduced compared to the pressure applied at the secondmilking portion. Advantageously, the radius of the test disc member 208to 210, 505, 600 at the third milking portion is selected such that thebulbous part of the user's digit does not contact the disc edge 305(i.e. the separation between the disc edge 305 and the aperture 105 isgreater than 1 mm). Whilst the third milking portion is coincident withthe user's digit as the test disc member 208 to 210, 505, 600 rotates,blood is free to exit the puncture made by the lancet 309. As the testdisc member 208 to 210, 505, 600 continues to rotate, the disc edge 305again contacts the bulbous part of the user's digit at a location justbefore the blood collection part 315. This again increases the internalpressure within the bulbous part of the user's digit. This encouragesthe movement of blood towards the analyte measuring part 316. Theseparation between the disc edge 305 at the location of the bloodcollection part 315 and the aperture 105 is approximately 0.5 mm.

The configuration of the test disc members 208 to 210, 505, 600 thusencourages milking of a sample of blood from the user's digit. Thesequence is as follows: Firstly, lancing by the lancet 309 with arelatively low pressure (caused by no contact with the disc edge 305 andthe user's digit), followed by a period for which relatively low amountof pressure, as well as a rubbing movement, is provided by the secondmilking portion to the user's digit, followed by a period for whichlittle or no pressure is provided by the disc edge 305 against theuser's digit, followed by a relatively high pressure provided by thedisc edge 305 against the user's digit just before and at the bloodcollection part 315.

Operation of the blood glucose meter 100 will now be described withreference to the flowchart of FIG. 23. Operation starts at step SI. Atstep S2, the user locates their digit in the aperture 105. As mentionedabove, the user forces their digit into the aperture 105 with a pressureor force that is suitable to allow lancing and blood collection. At stepS3, the user initiates blood glucose measurement. This involves the userpressing one of the inputs 101 to 103. This is detected by themicroprocessor 212 by way of the keys interface 215. Thesoftware/firmware stored in the ROM 214 uses the key input to call afunction or to execute a software module. The software/firmware storedin the ROM 214 then causes the microprocessor 212 to issue a command toa motor attached to the drive wheel 201 through the motor interface 217to rotate the shaft 204 in a clockwise direction. The software/firmwarecontrols the extent of the rotation. At step S4, the amount of rotationis sufficient to lance the user's digit with the lancet 309. Thesoftware/firmware stored in the ROM 214 then causes the microprocessor212 to control the motor to rotate the shaft 204 in the oppositedirection, at step S5. As the test disc member rotates anticlockwise,milking occurs at step S6. Firstly, at step S6A, there is no pressureapplied by the test disc member on the digit. At step S6B, there is amedium amount of pressure on the digit. At step S6C, there is low or nopressure applied by the test disc member on the digit. At this point,the digit coincides with the part of the test disc member that isimmediately before the blood collection part 315.

At step S7, the software/firmware causes the microprocessor 212 tocontrol the motor to cease rotation when the shaft 214 is such that theblood collection part 315 is coincident with the aperture 105, and thusthe user's digit. At step S8, the software/firmware controls a motorsuch as to cause the swing arm 401 to be rotated towards the shaft 204.The software/firmware stored in the ROM 214 is such that themicroprocessor 212 causes only the required amount of travel of theswing arm 401. At this point, the analyte interface circuit 219 iscoupled directly to the blood analyte measuring part 316, which byaction of the blood collection part 315 has been provided with bloodfrom the user's digit. At step S9, analyte measurement is performed.This involves the analyte interface circuit 219 providing voltages tothe electrical connection contacts 318, and thus to the blood analytemeasuring part 316, and measuring parameters of resulting signals. Themeasured parameters, particularly voltage parameters, are used by thesoftware/firmware stored in the ROM 214, as executed by the processor212, to calculate a blood glucose measurement level of the user. Theblood glucose measurement is then caused by the software/firmware to bedisplayed on the display 104 through action of the microprocessor 212 onthe display drive 216. At step S10, the swing arm is caused to beremoved by action of the microprocessor 212, under control of thesoftware stored in the ROM 214, the motor interface 217 and the motor(not shown).

At step S11, the software/firmware results in the microprocessor 212controlling the drive disc 201 to rotate anticlockwise. Rotationcontinues until the notch 301 on the test disc member is coincident withthe guide 206. At step S12, the test disc member rises up the cartridge106. In the case where biasing of the test discs up the cartridge 106 isprovided by a bias means, for instance a spring, step S12 requires noaction on part of the software/firmware and microprocessor 212, althoughthere may be a pause before the next step. In embodiments where movementof the test disc members along the shaft 204 occurs through drivingaction, step S12 involves the microprocessor 212, under control of thesoftware/firmware stored in the ROM 214, controlling a motor through themotor interface 217. Subsequently, at step S13, the microprocessor 212,under control of the software/firmware stored in the ROM 214, causes theshaft 204 to rotate again in a clockwise direction and to cease rotatingwhen the drive dog 320 engages with the drive slot 307 of the next testdisc member in the cartridge 106. At this stage, the test disc membersrise up the cartridge 106 slightly.

The operation ends at step S14.

FIG. 24 illustrates operation of the blood glucose meter 100 asdescribed with reference to FIGS. 16 to 21.

Operation starts at step T1. At step T2, the user locates their digit inthe aperture 105. As mentioned above, the user forces their digit intothe aperture 105 with a pressure or force that is suitable to allowlancing and blood collection. At step T3, the user initiates bloodglucose measurement. This involves the user pressing one of the inputs101 to 103. This is detected by the microprocessor 212 by way of thekeys interface 215. The software/firmware stored in the ROM 214 uses thekey input to call a function or to execute a software module. Thesoftware/firmware stored in the ROM 214 then causes the microprocessor212 to issue a command to a motor attached to the drive wheel 201through the motor interface 217 to rotate the shaft 204 in a clockwisedirection. The software/firmware controls the extent of the rotation.

Following step T3, the microprocessor 212, under control of thesoftware/firmware stored in the ROM 214, causes the shaft 204 to berotated by a motor through the motor interface 217 and to cease rotationonce the lancet 508 is aligned with the aperture 105, and thus isaligned with the user's digit, at step T4A. At step T4B, themicroprocessor 212, under control of the software/firmware stored in theROM 214, causes actuation of the plunger arrangement 500, through themotor interface 217. The control of the actuation of the plunger is suchas to limit the extent of movement of the lancet 508 to a predeterminedextent. The predetermined extent is set by a user through operation ofthe keys 102, 103 prior to the blood glucose measurement. In effect, theuser can use the keys 102, 103 to set a lancing depth, which is storedin a suitable way in the ROM 214 by action of the microprocessor 212,operating under control of the software/firmware stored in the ROM 214.

When the maximum extent of plunger actuation has been reached at stepT4B, at step T4C the plunger arrangement 500 is deactuated by themicroprocessor 212, under control of the software/firmware stored in theROM 214, and lancing ceases. At this step, the test disc member returnsto its original position by action of the elasticity of the annularcentre portion 508 of the test disc member 508.

Although in the figures, an in particular in FIG. 7, three conductivetracks 317 and three conductive pads 318 are shown, it will beappreciated that this is merely illustrative. There may instead be onlytwo conductive tracks 317 and two conductive pads 318, or alternativelythere may be more than three conductive tracks and conductive pads.

The software/firmware stored in the ROM 214 then causes themicroprocessor 212 to control the motor to rotate the shaft 204 in theopposite direction, at step T5. As the test disc member rotatesanticlockwise, milking occurs at step T6. Firstly, at step T6A, there isno pressure applied by the test disc member on the digit. At step T6B,there is a medium amount of pressure on the digit. At step T6C, there islow or no pressure applied by the test disc member on the digit. At thispoint, the digit coincides with the part of the test disc member that isimmediately before the blood collection part 315.

At step T7, the software/firmware causes the microprocessor 212 tocontrol the motor to cease rotation when the shaft 214 is such that theblood collection part 315 is coincident with the aperture 105, and thusthe user's digit. At step T8, the software/firmware controls a motorsuch as to cause the swing arm 401 to be rotated towards the shaft 204.The software/firmware stored in the ROM 214 is such that themicroprocessor 212 causes only the required amount of travel of theswing arm 401. At this point, the analyte interface circuit 219 iscoupled directly to the blood analyte measuring part 316, which byaction of the blood collection part 315 has been provided with bloodfrom the user's digit. At step T9, analyte measurement is performed.This involves the analyte interface circuit 219 providing voltages tothe electrical connection contacts 318, and thus to the blood analytemeasuring part 316, and measuring parameters of resulting signals. Themeasured parameters, particularly voltage parameters, are used by thesoftware/firmware stored in the ROM 214, as executed by the processor212, to calculate a blood glucose measurement level of the user. Theblood glucose measurement is then caused by the software/firmware to bedisplayed on the display 104 through action of the microprocessor 212 onthe display drive 216. At step T10, the swing arm is caused to beremoved by action of the microprocessor 212, under control of thesoftware stored in the ROM 214, the motor interface 217 and the motor(not shown).

At step T11, the software/firmware results in the microprocessor 212controlling the drive disc 201 to rotate anticlockwise. Rotationcontinues until the notch 301 on the test disc member is coincident withthe guide 206. At step T12, the test disc member rises up the cartridge106. In the case where biasing of the test discs up the cartridge 106 isprovided by a bias means, for instance a spring, step T12 requires noaction on part of the software/firmware and microprocessor 212, althoughthere may be a pause before the next step. In embodiments where movementof the test disc members along the shaft 204 occurs through drivingaction, step T12 involves the microprocessor 212, under control of thesoftware/firmware stored in the ROM 214, controlling a motor through themotor interface 217. Subsequently, at step T13, the microprocessor 212,under control of the software/firmware stored in the ROM 214, causes theshaft 204 to rotate again in a clockwise direction and to cease rotatingwhen the drive dog 320 engages with the drive slot 307 of the next testdisc member in the cartridge 106. At this stage, the test disc membersrise up the cartridge 106 slightly.

The operation ends at step T14.

Instead of the blood collection part 315 being located next to the thirdposition 314, i.e. bounding only the part of the disc edge 305 that ispurely circumferential, the blood collection part could instead belocated on the disc edge 305 at the junction between the cutaway portion302 and the circumferential portion. The blood collection part 315 inthis instance may extend for between 0.5 mm and 2 mm along the disc edge305 at the cutaway portion 302. The blood collection part 315 in thisinstance may also extend for between 0.5 mm and 2 mm along the disc edge305 at the circumferential part.

Alternatively or additionally, the analyte measuring part 316 may besandwiched between two layers of wicking material, the wicking materialcausing the blood to be drawn through the analyte measuring part 316.

Although in the above the shaft 204 is said to be driven by a drivewheel 201 that is coupled to the shaft 204 by a drive belt 202, thedrive may instead be direct (i.e. the drive mechanism is coupleddirectly to the shaft 204), or connection may be made by a notched belt,a vee belt, or by a direct gear mechanism. Instead of an electric motor,a clockwork drive could be used. A clockwork drive mechanism has anumber of advantages, particularly where access to batteries or batterychargers or electricity supplies are limited. In the embodiments inwhich a clockwork mechanism is used, the user can be sure that the BGM100 will not cease operating because of drained batteries. A clockworkmechanism may be particularly suited to developing countries andemerging markets.

In embodiments in which an electrical motor is used to drive the shaft204, preferably control is exerted over the motor by software. In thisway, the speed of rotation can easily be controlled. Additionally, theextent of rotation can more easily be controlled. The motor may be astepper motor.

Alternatively, a mechanical drive arrangement may be present, forinstance using a lever or other device for manual actuation. A suitablemechanism may be one similar to those previously used in SLR cameras.

The swing arm 401 may be actuated in any suitable way. For instance, itmay be driven by the same motor or mechanism as the shaft 204.Alternatively, it may be driven by a separate motor. In either case, therotation of the swing arm 404 may be affected by a cam mechanism, or bya pin and slot (track path) mechanism. In the event of an electric motorbeing used, the motor preferably is software driven. The motorpreferably is a stepper motor.

The mechanical arrangement may include a mechanism by which a biasmeans, for instance a mechanical compression spring, is biased and thenreleased in order to push the electrical contact terminals 405 intoplace. The terminals 405 can then be retracted by the swing arm 401using a rotating motion. The overall mechanism can be termed a latchtype trigger mechanism.

Instead of a swing arm 401 being used to rotate the electrical contactterminals 405 into place, the contact pads 318 may instead be located onthe disc edge 305, allowing the use of fixed electrical contactterminals 405. The electrical contact terminals may include a brush orother deformable feature such that the test disc members 208 to 210,505, 600 can move whilst in contact with the electrical contactterminals without damage occurring to any of the components. Similararrangements are used in brushed DC motors. In this case the electricalcontact terminals 405 could be flexible finger contacts that rest on theperiphery of the test disc members 208 to 210, 505, 600 in order tocontact the contact pads 308.

Alternatively, instead of a swing arm 401, a mechanism may be used toaffect longitudinal movement of the electrical contact terminals 405into place to contact the contact pads 318.

The conductive tracks 317 and the contact pads 318 may be formed byleadframe. Alternatively, overmoulding may be used. Alternatively,printed circuit board (PCB) printing may be used.

Optionally, each of the test disc members 209, 210, 505, 600 isseparated from adjacent test disc members by a membrane (not shown inthe drawings). In this case, the membrane preferably fits closely to theinternal surface of the hollow cylindrical housing part 203. An effectof the membrane is to reduce the possibility of disccross-contamination. Use of a membrane may allow the test disc members208 to 210, 505, 600 to have a reduced separation than would be the casewithout the use of a membrane.

In the above, the test disc members 208 to 210, 505, 600 are said to bebiased upwards by a bias means, for instance a compression spring.Alternative mechanisms for moving the test disc members 208 to 210, 505,600 up the cartridge may be used. For instance, a threaded lifting cammay be provided on the shaft 204 or alternatively on the interiorsurface of the hollow cylindrical housing part 203. Alternatively, thetest disc members 208 to 210, 505, 600 may remain stationary, with theaperture 105 and the drive dog 320 instead being moved along the axis ofthe cartridge 106. Movement of the aperture 105 may be achieved by theuse of a sliding door in an elongated slot. Movement of the door allowsa different strip to be revealed at the aperture 105.

Instead of the blood collection part 315 wicking blood towards theanalyte measuring part 316, blood may be communicated to the analytemeasuring part 316 instead through gravity.

Additionally, the test disc members 208 to 210, 505, 600 may include adisinfecting or cleaning portion that contacts the digit before lancing.This can reduce risk of infection of the wound and also can increaseaccuracy in particular by removing any glucose from the skin (as mayoccur after eating fruit etc.).

Additionally or alternatively, the test disc members 208 to 210, 505,600 may include a cleaning portion that is arranged to contact the digitsubsequent to the blood collection part 305. This can remove additionalblood from the finger, and may also serve to assist closure of thepuncture.

The device described thus far is also described in WO 2012/004354.

FIG. 25 is an alternative BGM 700 in accordance with aspects of theinvention. The BGM 700 may be substantially the same as any of thepreviously-described embodiments. The differences between the BGM 700and previously-described embodiments are described below.

As can be seen in FIG. 25, the alternative BGM 700 does not include theelongate aperture 110 in the front face of its first housing part 707.Instead, the BGM 700 comprises a smaller aperture 705, which may havethe same characteristics as the aperture 105 formed in the cartridge 106of the previous embodiments. In FIG. 25, the aperture 705 formed in thefirst housing part 707 is covered by an aperture cover 702 and so isonly shown by a broken outline. The cartridge 800 (not visible in FIG.25) includes its own aperture 805 which is larger than the aperture 705formed in the BGM housing 707. When the cartridge is fully inserted intothe BGM 700, the apertures 705, 805 are aligned such that the perimeterof the aperture 705 in the BGM housing 707 falls within the perimeter ofthe aperture 805 in the cartridge 800. Optionally, the two apertures705, 805, when viewed face-on, are centred on the same axis (the axisbeing perpendicular to both apertures).

The aperture cover 702 is movable between a first position in which theaperture 705 in the BGM housing 707 is sealed (as shown in FIG. 25) anda second position in which the aperture 705 is open. When the aperture705 is open a part of a user's body, such as their finger tip, can beinserted into the aperture 705. When the aperture 705 is sealed, air isunable to pass therethrough. Water vapour in the air can adverselyaffect the enzyme used to measure blood glucose levels. As such, it isbeneficial for the aperture 705 to be sealed whenever the BGM 700 is notin use.

FIG. 26 is a cross-sectional view through the BGM 700 of FIG. 26, whenthe aperture cover 702 is in the first position. The aperture cover 702comprises a sealing member 708 which is configured to provide a sealbetween the interior side of the wall of the housing 707, in which theaperture 705 is formed, thereby to seal the aperture 705. The sealingmember 708 is larger than the aperture 805 such that, when the aperturecover 702 is in the closed, first position and the sealing member coversthe aperture 705, the sealing member 708 extends beyond the edges of theaperture 705. The sealing member 708 may comprise any suitable materialfor forming a seal, such as rubber.

The aperture cover 702 also comprises a user-contactable part 710A,710B. The user-contactable part 710A, 710B extends from the sealingmember 708, through the aperture 705 to the outer side of the wall ofthe housing 707. The user-contactable part 710A, 710B is configured soas to allow the user to move the aperture cover 702 between the firstposition (aperture covered) and the second position (apertureuncovered). The user contactable part 710A, 710B is larger than theaperture 705, such that when the aperture cover 702 is in the secondposition, the user-contactable part 710A, 710B entirely covers theaperture 705. However, when the aperture cover 702 is in the secondposition, at least a part of the aperture 705 is uncovered. Theuncovered part is large enough to allow the user's finger to be insertedtherein.

The user-contactable part 710A, 710B comprises first and secondsub-parts 710A, 710B. The first sub-part 710A resides on the exteriorside of the wall of the housing 707. The first sub-part 710A may includeone or more structures 710A-1 for increasing the friction between theuser's finger/thumb and the user-contactable part 710A, 710B, when theuser moves the aperture cover 702 between the first and secondpositions. The second sub-part 710B resides within the aperture 705 andconnects the first sub-part 710A of the user-contactable part 710A, 710Bwith the sealing member 708. The second sub-part 710B may also be knownas a guide member in that it is configured to constrain the movement ofthe aperture cover 702 to movement along a path defined by the aperture705. In this example, the constraining of the movement of the aperturecover 702 is achieved by selecting the dimensions of the second sub-part710B based on the dimensions of the aperture 705. Although not visiblefrom the Figures, the aperture 705 is rectangular and so has a heightand a length. The second sub-part 710B is configured such that itsheight is slightly smaller than the height of the aperture 705. Thelength of the second sub-part 710B is small enough to allow movement ofthe second sub-part along the length of the aperture (thereby to uncoverthe aperture 705) but large enough that the diagonal between corners ofthe second sub-part 710B is sufficiently greater than height of theaperture 705, so as to prevent rotation of the second sub-part 710Bwithin the aperture 705. It will be appreciated that the movement of theaperture cover 702 may be constrained to a predefined linear path insome other way. For example other types of guide member, such as rails,between which the first sub-part 710A of the user contactable part 710or the sealing member is located, may be used.

The aperture cover 702 includes first and second recesses 708A, 708Bbetween the sealing member 708 and the first sub-part 710A. The firstand second recesses are provided on opposite sides of the second-subpart 710B. The wall of the housing is slidably receivable in the firstand second recesses. The first recess 708A is larger than the secondrecess 708B such that a greater length of housing wall can be receivedtherein. Provided in the first recess, between an edge of the aperture705 and the second sub-part 710B, is a biasing member 807. In thisexample, the biasing member 807 is a spring. The biasing member 807 isconfigured so as to bias the aperture cover 702 towards the first,covering position. The biasing member 807 may be connected to the edgeof the aperture and the second sub-part 710B in any suitable way. Forexample, an end of the spring may be provided in an aperture or locatedon a protrusion.

The BGM 700 also comprises first and second catch members 809, 811. Thefirst and second catch members 809, 811 are configured to engage withone another, when the aperture cover 702 is moved to the secondposition. When the first and second catch members are engaged, theaperture cover 702 is retained in the second position. The first catchmember 809 is coupled to the aperture cover 702. The second catch member811 is coupled to the interior of the housing wall. The second catchmember 811 is depressible. Depressing the second catch member 811 causesthe first and second catch members 809, 811 to become disengaged fromone another. When disengagement occurs, the biasing member 807 causesthe aperture cover 702 to return to the first position. The constructionand operation of the first and second catch members 809, 811 isdescribed in more detail below.

The cartridge 800 including the aperture 805 is visible in FIG. 26. Atest disc member 802 is present in the cartridge 800. As with the aboveembodiments, the test disc member 802 is rotatable in the cartridge 800.The test disc member 804 includes a protruding region 804. Theprotruding region 804 extends further from the centre of the test discmember 802 than do the other perimetrical regions of the test discmember 802. Although not shown in FIG. 26, apart from the protrudingregion 802, the test disc member 802 may be shaped as described withreference to FIGS. 7 and 8. For example, the cutaway (“milking”) region302 may be provided between the lancet 813 and the protruding region804. The blood collecting part 315 (not shown) is located on theprotruding region 804. The contact pads 318 (not shown) are located atany suitable location.

In this example, the initial position of the test disc member 802 issuch that the protruding region 804 is adjacent to the aperture cover702. The protruding region is configured such that, when adjacent to theaperture cover 702, it exerts a force on the sealing member 708, therebyimproving the seal between the sealing member 708 and the interior ofthe wall surrounding the aperture 705. The BGM 700 is configured suchthat, when the test disc member 802 is appropriately rotated, theprotruding portion comes into contact with the second catch member 811,thereby depressing the second catch member 811 and so causingdisengagement of the first and second catch members 809, 811.

Although not shown, it will be appreciated that the cartridge 800 holdsplural test disc members 802, each used for a single blood sampleelicitation. After a test disc member 802 has been used, it is rotatedand moved up the shaft 204 and is replaced by another test disc member802.

FIG. 27 is a cross-sectional view showing the aperture cover 702 havingbeen slid to the second position by applying a suitable sliding force tothe user-contactable part 710A, 710B. In the second position, theaperture 705 is uncovered and the user is able to insert a body partinto the aperture 705. When the aperture cover 702 is in the secondposition, the biasing member 807 is compressed and an increased lengthof the housing wall is received in the first recess. The housing wall isno longer received in the second recess. The first and second catchmembers 809, 811 are engaged and so the aperture cover 702 is retainedin the second position.

Once the aperture cover 702 has been opened and the user has locatedtheir finger in the aperture 705, the user controls the BGM 700 toinitiate a measurement (see step S3 of FIG. 24). The test disc member802 rotates in a first direction (step S4 of FIG. 24), denoted by thearrow A on FIG. 27, to bring the lancet 813 near to the aperture,thereby to lance the user's finger. This can be seen in FIG. 28.Subsequently, the test disc member 70 is rotated in a second, oppositedirection (step S6, denoted by arrow B in FIG. 28). During this rotationmilking occurs. The rotation stops (step S7) when the protruding region,and so also the blood collecting part 315, is adjacent to the aperture705. This orientation can be seen in FIG. 27.

After the measurement has been made (in steps S8 to S10), the userremoves their finger and the test disc member 802 continues to rotate inthe second direction (denoted by arrow C on FIG. 27). This rotationcauses the protruding region 804 to come into contact with and todepress the second catch member 811. This causes the first and secondcatch members 809, 811 to disengage and allows the aperture cover 702 toreturn to the second, covering position. After this, the test discmember 802 continues to rotate (step S11) until the notch 301 (not shownin FIGS. 26 to 28) is aligned with the guide member 206 (also not shown)and the test disc member is moved up the shaft 204 (step S12). The shaft204 is then appropriately rotated until the drive dog (not shown) picksup a second test disc member (step S13). The second test disc member isoriented as shown in FIG. 26.

FIG. 29A shows a simplified view of the second catch member 811. Thesecond catch member comprises a catch part 900 and a protrusion 902. Thecatch part 900 is configured to engage the first catch member 809, whichcomprises a hook. The protrusion 902 extends further from the housingwall 707 than does the catch part 900. The protrusion 902 is configuredso as to contact the protruding region 804 of the test disc member 802,when the test disc member 802 is suitably rotated. The second catchmember 811 is spaced from the housing wall 707 by a biasing member 904.The biasing member 904 extends from the housing wall 707 to the secondcatch member 811. The biasing member 904 is configured such that thesecond catch member 811 is depressible towards the wall 707, butsubsequently returns to its original position. The second catch member811 is retained in position by an arm 906 coupled to the second catchmember 811 and pivotally coupled with the wall 707. It will beappreciated that the second catch member 811 may be retained in positionin a different way. For example the second catch member may be locatedpartially within a tube extending from the wall 707.

FIG. 29B shows the second catch member 811 when it is engaged with thefirst catch member 809. The first catch member 809 is coupled to thesealing member 708. The first catch member extends from an end of thesealing member 708. The first catch member 809 and the catch part 900 ofthe second catch member 811 are aligned with one another. The protrusion902 is displaced from the catch part 900 and the first catch member 809.The protrusion 902 extends beyond the sealing member 708 further intothe interior of the housing. As such, when the protruding region 804 ofthe test disc member 802 rotates, it contacts the protrusion 902 and socauses the second catch member 811 to become depressed, and so todisengage from the first catch member 809.

Although not illustrated, it will be appreciated that the second catchmember 811 will depress slightly as the first catch member 809 slidesover the catch part 900 of the second catch member 811. When the firstand second catch members 809, 811 are fully engaged, the second catchmember 811 may return to its original position.

1. An apparatus for eliciting a blood sample comprising: a housingcomprising a wall having a first side and a second side, the walldefining an aperture extending from the first side to the second side ofthe wall and the wall including a first portion and a second portion; anaperture cover moveable between a first position in which the apertureis covered and a second position in which the aperture is uncovered, theaperture cover comprising: a first recess configured to slidably receivethe first portion of the wall of the housing; a second recess configuredto slidably receive the second portion of the wall of the housing; asealing member configured to seal the aperture on the first side of thewall when the aperture cover is in the first position, the sealingmember being larger than the aperture such that when the aperture coveris in the first position the sealing member extends beyond a perimeterof the aperture to cover and seal the entire aperture from the firstside of the wall; and a user-contactable part extending from the sealingmember through the aperture to the second side of the wall andconfigured to enable a user to move the aperture cover between the firstand second positions, the user-contactable part comprising a coveringpart configured to cover the entire aperture from the second side of thewall when the aperture cover is in the first position; and a biasingmember located between the sealing member and the covering part of theaperture cover and configured to bias the aperture cover towards thefirst position.
 2. The apparatus of claim 1, wherein the aperture coveris configured to slidably receive the first portion of the wall betweenthe sealing member and the covering part when the aperture cover ismoved from the first position to the second position.
 3. The apparatusof claim 1, wherein the apparatus further comprises a guide member forconstraining movement of the aperture cover to a predefined path.
 4. Theapparatus of claim 1, wherein the aperture cover further comprises afirst catch member and the housing further comprises a correspondingsecond catch member, and wherein the first catch member and thecorresponding second catch member are configured to engage one anotherwhen the aperture cover is moved to the second position, thereby toretain the aperture cover in the second position.
 5. The apparatus ofclaim 4, wherein the second catch member is depressible, and wherein thefirst catch member and the corresponding second catch member areconfigured to disengage from one another when the second catch member isdepressed.
 6. The apparatus of claim 5, wherein the apparatus isconfigured to perform a plurality of blood sample elicitations and tocause the second catch member to be depressed each time a blood samplehas been elicited.
 7. The apparatus of claim 6, further comprising aplurality of test disc members, each used for a single blood sampleelicitation and each including a protruding portion, the apparatusconfigured such that after one of the test disc members has been used toelicit a blood sample, the protruding portion is moved into contact withthe second catch member thereby depressing the second catch member andallowing the aperture cover to return to the first position.
 8. Theapparatus of claim 7, wherein the second catch member comprises aprotruding portion, and wherein when the protruding portion of thesecond catch member and the protruding portion of a test disc member ofthe plurality of test disc members make contact, the second catch memberis depressed.
 9. The apparatus of claim 1, wherein the apparatus furthercomprises a test disc member used for a single blood sample elicitation,the test disc member being configured so as to apply pressure on thesealing member when the aperture cover is in the first position, therebyto improve the sealing of the aperture by the sealing member.
 10. Theapparatus of claim 1, wherein the aperture cover is configured to slidebetween the first position and the second position.
 11. The apparatus ofclaim 1, wherein the first recess is larger than the second recess suchthat a greater length of the wall of the housing is received in thefirst recess than a length of the wall received in the second recess.